| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1990-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
3094679096
|
| Plan sponsor’s
address |
116 SOUTH CLINTON DRIVE, EUREKA, IL, 61530
|
Plan administrator’s name and address
| Administrator’s EIN |
370681536 |
| Plan administrator’s name |
MAPLE LAWN HOMES |
| Plan administrator’s
address |
700 NORTH MAIN STREET, EUREKA, IL, 615301099 |
| Administrator’s telephone number |
3094679096 |
Signature of
| Role |
Plan administrator |
| Date |
2017-12-11 |
| Name of individual signing |
JEREMY LAKOSH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
